{"id":"W4388078469","doi":"10.2196/48576","title":"Dobutamine and Goal-Directed Fluid Therapy for Improving Tissue Oxygenation in Deep Inferior Epigastric Perforator (DIEP) Flap Breast Reconstruction Surgery: Protocol for a Randomized Controlled Trial","year":2023,"lang":"en","type":"article","venue":"JMIR Research Protocols","topic":"Reconstructive Surgery and Microvascular Techniques","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Kingston Health Sciences Centre; Queen's University","funders":"Southeastern Ontario Academic Medical Organization","keywords":"DIEP flap; Medicine; Breast reconstruction; Perioperative; Surgery; Breast cancer; Dobutamine; Randomized controlled trial; Anesthesia; Cancer; Hemodynamics; Internal medicine","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":true,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.01860657,0.004973486,0.0105588,0.001645906,0.001909952,0.003645808,0.002762154,0.005357078,0.05697837],"category_scores_gemma":[0.02075786,0.001836239,0.005605466,0.002328096,0.002701677,0.0027495,0.001613622,0.00583623,0.007536291],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00353018,"about_ca_system_score_gemma":0.008910318,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001606254,"about_ca_topic_score_gemma":0.002914809,"domain_scores_codex":[0.9878989,0.007179806,0.001377068,0.001145866,0.001054901,0.001343497],"domain_scores_gemma":[0.9903742,0.002851717,0.0023181,0.001207378,0.001978543,0.001270017],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"randomized_trial","study_design_gemma":"randomized_trial","study_design_scores_codex":[0.968995,0.006419347,0.0003711445,0.006932921,0.00189502,0.00007759553,0.0001089341,0.0006355932,0.00105514,0.001092905,0.004454527,0.007961971],"study_design_scores_gemma":[0.9710971,0.01680063,0.0008905514,0.0009388666,0.0008139801,0.00002359963,0.00004730673,0.0008083154,0.000359863,0.0008666802,0.007309687,0.00004331829],"study_design_candidate":"randomized_trial","study_design_consensus":"randomized_trial","genre_codex":"protocol","genre_gemma":"protocol","genre_scores_codex":[0.006141619,0.0005759089,0.001095115,0.0003153654,0.0006562901,0.9883311,0.001584716,0.0001046101,0.001195136],"genre_scores_gemma":[0.005333528,0.0002223944,0.001519137,0.0002621744,0.00008279627,0.9916934,0.0002176591,0.000007925518,0.0006609819],"genre_candidate":"protocol","genre_consensus":"protocol","teacher_disagreement_score":0.05697837,"threshold_uncertainty_score":0.1906117,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.07523175732705144,"score_gpt":0.4556725366208203,"score_spread":0.3804407792937688,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}